1. (a) The county department shall receive and act on applications for the Medi-Cal Special Treatment Programs in accordance with Article 4.

   1. (1) The Application for Public Social Services, Form CA 1, shall be used as the application form.
   2. (2) The name of the applicable Medi-Cal Special Treatment Program shall be indicated immediately above the “Medi-Cal card” box on Form CA 1.
2. (b) The county, in addition to meeting the requirements of Section 50157(f) and (g), shall provide Medi-Cal Special Treatment Programs--Supplement applicants a copy of the applicable Medi-Cal Special Treatment Programs--Supplement Client Information statement at the initial and redetermination or reapplication interviews. A signed and dated copy of the applicable Medi-Cal Special Treatment Programs--Supplement Client Information statement shall be placed in the case folder.
3. (c) A redetermination shall be required annually.

4. (d) The county department shall require Medi-Cal Special Treatment Programs--Only and Medi-Cal Special Treatment Programs--Supplement beneficiaries to complete a Medi-Cal Status Report, Form MC 176S, no later than the third month following the month of Medi-Cal Special Treatment Programs eligibility approval and at three month intervals thereafter. Status reports shall not be required during the quarter in which an annual redetermination is completed.

   1. (1) A reevaluation shall be made when a change in circumstances affects the percentage obligation or eligibility.
   2. (2) Information supplied on the status report shall be considered in reevaluating percentage obligation or eligibility.
5. (e) Retroactive eligibility, as defined by Section 50197, shall not be provided under the Medi-Cal Special Treatment Programs.

Note: Authority cited: Section 20, Health and Safety Code; and Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Sections 14005.4, 14005.7, 14141, 14142, 14143, 14144 and 14144.5, Welfare and Institutions Code.

History

1. Amendment filed 5-16-80 as an emergency; effective upon filing (Register 80, No. 20). A Certificate of Compliance must be transmitted to OAH within 120 days or emergency language will be repealed on 9-14-80.

2. Certificate of Compliance filed 8-22-80 (Register 80, No. 34).

3. Amendment of subsection (d) filed 10-3-80; effective thirtieth day thereafter (Register 80, No. 40).

4. Amendment filed 3-25-81 as an emergency; effective upon filing (Register 81, No. 13). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-23-81.

5. Order of Repeal of 3-25-81 emergency order filed 4-3-81 by OAL pursuant to Government Code Section 11349.6 (Register 81, No. 14).

6. Amendment filed 7-19-82; effective thirtieth day thereafter (Register 82, No. 30).

7. Editorial correction of Note filed 11-10-83 (Register 83, No. 46).

8. Change without regulatory effect amending subsection (e) and Note filed 6-21-2012 pursuant to section 100, title 1, California Code of Regulations (Register 2012, No. 25).